Question

A 72-year-old man with non-valvular atrial fibrillation (AF), hypertension, type 2 diabetes and no prior stroke presents for review. CHA2DS2-VASc score is 3. What is the most appropriate stroke prevention strategy?

Accepted Answer

Apixaban or another DOAC at standard dose

Answer

Aspirin 75 mg daily

Answer

No antithrombotic therapy

Answer

Warfarin with target INR 2.0-3.0

Answer

Dual antiplatelet therapy (aspirin + clopidogrel)

Practice question

A 72-year-old man with non-valvular atrial fibrillation (AF), hypertension, type 2 diabetes and no prior stroke presents for review. CHA2DS2-VASc score is 3. What is the most appropriate stroke prevention strategy?